AHMED FASIHUDDIN KHAN (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1497018410
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for AHMED FASIHUDDIN KHAN (M.D.)
1135 S SUNSET AVE STE 200
WEST COVINA, CA 917903964
Phone: (626) 918-6655
Fax: (626) 918-6633
Type: Location
PO BOX 4039
ORANGE, CA 928634039
Phone: (714) 571-5000
Fax: (714) 571-5055
Type: Mailing
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone: (888) 803-3370
Type: Location
25 Hidden Ravines Dr
Powell, OH 430659883
Phone: (614) 636-2378
Type: Location
790 N Milwaukee St Ste 313
Milwaukee, WI 532024148
Phone: (888) 803-3370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Abbott Laboratories ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190712000358 | I | Sports Medicine | CA | TBD |
| I20210706002890 | I | Family Practice | OH | TBD |
| I20260224003832 | I | Family Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 318 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 43 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 29 | $0 |
Insurance plans in this area (ZIP 91790)
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